Individual
WONDAYE TAMENE DERESSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 400-1133
Mailing address
10040 FALL RAIN DR, LAUREL, MD 20723-5771
(240) 355-1325
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R146322
MD
Other
Enumeration date
11/30/2009
Last updated
08/11/2023
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